Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $91.20 / $182.40	Facility		$45.60	$91.20	$182.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $72.95 / $390.94	Professional		$45.60	$72.95	$390.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.52 / $39.52 / $39.52	Facility		$39.52	$39.52	$39.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $22.69 / $87.25	Professional		$7.48	$22.69	$87.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $33.44 / $33.44	Professional		$33.44	$33.44	$33.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $23.46 / $66.88	Facility		$16.76	$23.46	$66.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $30.92 / $60.80	Professional		$12.74	$30.92	$60.80
United Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $7.36 / $36.47	Professional		$6.93	$7.36	$36.47